FORM 1023-EZ for MCH OUTREACH INC

Field Data
EIN 46-3947962
Case Number EO-2021093-000677
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MCH OUTREACH INC
Organization’s Mailing Address P O BOX 148
City MILL CREEK
State OK
ZIP 74856
Accounting period End 12
Primary contact name THOMAS FORTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS FORTNER
MANAGER
101 E PONTOTOC STREET
MILL CREEK OK 74856

Officer/Director/Trustee Two

SUSAN GRAVES
TREASURER
1801 GLENWICK DR
PLANO TX 75075-7354

Officer/Director/Trustee Three

SHAWN MADDEN
COMPTROLLER
3647 NORTHAVEN
DALLAS TX 75229

Officer/Director/Trustee Four

CANDY MORRELL
SECRETARY
300 N AKARD ST APT 1108
DALLAS TX 75201

Officer/Director/Trustee Five

FREDA JETTON
MEMBER
95512 PRESTHOPE DRIVE
FRISCO TX 75035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUSAN GRAVES
Signature Title TREASURER
Signature Date 3/2/2021
EIN 46-3947962
Case Number EO-2014351-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MCH OUTREACH INC
Organization’s Mailing Address 1801 GLENWICK DRIVE
City PLANO
State TX
ZIP 75075
Accounting period End 12
Primary contact name SUSAN GRAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN GRAVES
PRESIDENT
1801 GLENWICK DRIVE
PLANO TX 75075-7394

Officer/Director/Trustee Two

OPAL COLE
DIRECTOR
4326 RAWLINS
DALLAS TX 75219

Officer/Director/Trustee Three

SARAH SMTH
DIRECTOR
306 E BROOKSIDE
BRYAN TX 77801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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